Randil L Clark is a Urology in Coeur D' Alene, Idaho. Randil L Clark practices all healthcare services and medical treatments related to Urology. The NPI Number for Randil L Clark is 1205961182. The last update date is 2012-05-25.
Randil L Clark's current location address is 980 Ironwood Dr W, Coeur D' Alene, Idaho. You can contact this provider via phone number 2086670621 and fax number 2086641709. The mailing address for Randil L Clark is 980 Ironwood Dr W, Coeur D' Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randil L Clark |
|---|---|
| Address | 980 Ironwood Dr W, Coeur D' Alene, Idaho |
| Phone Number | 2086670621 |
| Fax Number | 2086641709 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205961182 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2012-05-25 |
Provider Mailing Address Detail
| Address | 980 Ironwood Dr W |
|---|---|
| City | Coeur D' Alene |
| State | Idaho (ID) |
| Post Code | 83814 |
| Phone Number | 2086670621 |
| Fax Number | 2086641709 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | M-5699 |
|
Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2667200 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randil L Clark by the Centers for Medicare & Medicaid Services?
The Randil L Clark has been issued the NPI (National Provider Identifier) 1205961182, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Randil L Clark's facilities are situated?
The facilities of Randil L Clark are physically located at the following address: 980 Ironwood Dr W, Coeur D' Alene, ID, 83814.
What is Randil L Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Randil L Clark is Urology, and the taxonomy code that categorizes this field of expertise is 208800000X.
On what date did Randil L Clark receive its 1205961182 assignment from the Centers for Medicare & Medicaid Services?
The Randil L Clark was assigned its 1205961182 on 2007-02-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Randil L Clark's details last updated?
The information pertaining to the Randil L Clark, including its address, specialty, and other details, was most recently updated on 2012-05-25.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN